Medications not yet evaluated by P&T are considered NON-FORMULARY . . . . . Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step! . . . . . Please be sure to document all clinical activities daily.
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lymphocyte immune globulin, anti-thy (equine)

lymphocyte immune globulin, anti-thy (equine)
  • Restricted Atgam --> Restricted to hematology/oncology and nephrology.
Drug Name Form Strength Formulary Unrestricted Formulary Restricted Non-Formulary Interchange
Atgam SOLUTION, INTRAVENOUS 50 mg/mL      


Comments:

Atgam is formulary restricted to hematology/oncology and nephrology for treatment of aplastic anema and treatment of renal transplant rejection.


Notify pharmacy administration of order so a financial evaluation can be performed prior to verification and dispensing (August 2019).


Reviewed: 24 Sept 2019 (Atgam)


Last updated: Sep. 25, 2019







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